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Pennsylvania rates for HCPCS 50385

Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,238.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $758.58 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,606.93